WO1991008785A1 - Procede et dispositif d'anesthesie - Google Patents

Procede et dispositif d'anesthesie Download PDF

Info

Publication number
WO1991008785A1
WO1991008785A1 PCT/US1990/007247 US9007247W WO9108785A1 WO 1991008785 A1 WO1991008785 A1 WO 1991008785A1 US 9007247 W US9007247 W US 9007247W WO 9108785 A1 WO9108785 A1 WO 9108785A1
Authority
WO
WIPO (PCT)
Prior art keywords
catheter
needle
introducer
set forth
carrying means
Prior art date
Application number
PCT/US1990/007247
Other languages
English (en)
Inventor
Vladimir Bittner
Mark D. Johnson
Original Assignee
Brigham And Women's Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Brigham And Women's Hospital filed Critical Brigham And Women's Hospital
Priority to JP91503242A priority Critical patent/JPH05505733A/ja
Publication of WO1991008785A1 publication Critical patent/WO1991008785A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0102Insertion or introduction using an inner stiffening member, e.g. stylet or push-rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3401Puncturing needles for the peridural or subarachnoid space or the plexus, e.g. for anaesthesia

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Hematology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

La présente invention se rapporte à des procédés et dispositif d'administration d'une anesthésie spinale directement dans l'espace subarachnoïde d'un patient. L'un des procédés et dispositif utilise une aiguille spinale de petit gabarit pour pénétrer dans la paroi durale; l'autre utilise un cathéter (32) de petit gabarit à stylet interne (34) possédant une pointe non aiguisée (36) pour séparer les filaments de la paroi durale. Un introducteur (12) à extrémité arrondie (20) est également prévu pour guider et soutenir l'aiguille spinale ou le cathéter, quand une force leur est appliquée, pour les faire pénétrer dans la paroi durale.
PCT/US1990/007247 1989-12-11 1990-12-11 Procede et dispositif d'anesthesie WO1991008785A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP91503242A JPH05505733A (ja) 1989-12-11 1990-12-11 麻酔誘発方法及び装置

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US44832189A 1989-12-11 1989-12-11
US448,321 1989-12-11

Publications (1)

Publication Number Publication Date
WO1991008785A1 true WO1991008785A1 (fr) 1991-06-27

Family

ID=23779840

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1990/007247 WO1991008785A1 (fr) 1989-12-11 1990-12-11 Procede et dispositif d'anesthesie

Country Status (4)

Country Link
US (1) US5304141A (fr)
JP (1) JPH05505733A (fr)
AU (1) AU7140491A (fr)
WO (1) WO1991008785A1 (fr)

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4128530A1 (de) * 1991-08-28 1993-03-04 Vygon Gmbh & Co Kg Anaesthesiebesteck
US5250035A (en) * 1992-04-20 1993-10-05 Abbott Laboratories Cannula and stylet system
US5263936A (en) * 1991-01-30 1993-11-23 Masaki Yurino Continuous local anesthetization set
WO1994004212A1 (fr) * 1992-08-18 1994-03-03 Georgescu Horia Dan Dispositif pour proteger des catheters epiduraux des bords du biseau des aiguilles
EP0608985A1 (fr) * 1993-01-29 1994-08-03 Becton, Dickinson and Company Set comprenant un assemblage cathéter et aiguille, pour administrer des agents thérapeutiques dans l'espace subarachnoide
EP0728495A2 (fr) * 1995-01-25 1996-08-28 Len Edwards Scrymgeour Carrie Cathéter épidural
US8202461B2 (en) 2008-01-14 2012-06-19 Custom Medical Applications, Inc. Flow elements for use with flexible spinal needles, needle assemblies for manufacture and methods therefor
US8287496B2 (en) 2008-01-17 2012-10-16 Custom Medical Applications, Inc. Flow elements for use with flexible spinal needles, needle assemblies and methods therefor
CN109939279A (zh) * 2017-12-20 2019-06-28 柯惠有限合伙公司 用于抽吸胆汁的方法
WO2020152570A1 (fr) * 2019-01-21 2020-07-30 I.N.R.C.A. Dispositif universel d'anesthésie rachidienne continue

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US5738650A (en) * 1993-01-29 1998-04-14 Becton, Dickinson And Company Subarachnoid needle and method for administering therapeutic agents to the subarachnoid space
US5833662A (en) * 1995-01-19 1998-11-10 Stevens; Robert C. Hemostasis cannula system
US5746720A (en) * 1995-10-18 1998-05-05 Stouder, Jr.; Albert E. Method and apparatus for insertion of a cannula and trocar
DE69719638T2 (de) * 1996-08-16 2003-12-24 Smiths Group Plc London Nadelanordnung
US5830188A (en) * 1996-12-11 1998-11-03 Board Of Regents, The University Of Texas System Curved cannula for continuous spinal anesthesia
US5938635A (en) * 1996-12-30 1999-08-17 Kuhle; William G. Biopsy needle with flared tip
US5865184A (en) * 1997-01-13 1999-02-02 Takiguchi; Tetsuo Combined spinal and epidural anesthesia
US7572263B2 (en) * 1998-04-01 2009-08-11 Arthrocare Corporation High pressure applicator
US6783515B1 (en) 1999-09-30 2004-08-31 Arthrocare Corporation High pressure delivery system
US6485475B1 (en) * 2000-03-01 2002-11-26 The Board Of Regents Of The University Texas System Introducer needle for continuous perineural catheter placement
US8611993B2 (en) * 2000-03-13 2013-12-17 Arrow International, Inc. Pre-loaded lockable stimulating catheter for delivery of anaesthetic drugs
US7386341B2 (en) * 2000-03-13 2008-06-10 Arrow International, Inc. Instrument and method for delivery of anaesthetic drugs
US6456874B1 (en) 2000-03-13 2002-09-24 Arrow International Inc. Instrument for delivery of anaesthetic drug
US20040015133A1 (en) * 2000-05-31 2004-01-22 Hussain Karim Epidural apparatus
US6558353B2 (en) * 2001-01-25 2003-05-06 Walter A. Zohmann Spinal needle
US7338514B2 (en) * 2001-06-01 2008-03-04 St. Jude Medical, Cardiology Division, Inc. Closure devices, related delivery methods and tools, and related methods of use
FR2835436B1 (fr) * 2002-02-07 2004-11-26 Georges Boussignac Instrumentation pour analgesie, notamment peridurale
DE10215191A1 (de) * 2002-04-05 2003-10-16 Pajunk Ohg Besitzverwaltung Kanüle
US6875219B2 (en) * 2003-02-14 2005-04-05 Yves P. Arramon Bone access system
US8333734B2 (en) * 2003-07-03 2012-12-18 Walter A. Zohmann Fenestrated peripheral nerve block needle and method for using the same
US20050090801A1 (en) * 2003-10-27 2005-04-28 Racz N. S. Safety spinal catheter
US20060064101A1 (en) * 2004-02-12 2006-03-23 Arthrocare Corporation Bone access system
US20060164913A1 (en) * 2005-01-21 2006-07-27 Arthrocare Corporation Multi-chamber integrated mixing and delivery system
US7803142B2 (en) 2005-02-02 2010-09-28 Summit Access Llc Microtaper needle and method of use
US20090157044A1 (en) * 2005-08-26 2009-06-18 Novodural Pty Ltd Epidural administration systems
US7957521B2 (en) * 2005-11-30 2011-06-07 On-Q Telecom Systems Co., Inc. Method and system for user prioritization within telecommunication services and in particular within call completion services
US9888940B2 (en) 2006-09-11 2018-02-13 Custom Medical Applications Neural injection system and related methods
US20080065029A1 (en) * 2006-09-11 2008-03-13 Racz N S Nerve block needle and related methods
US9480800B2 (en) 2006-09-11 2016-11-01 Custom Medical Applications Neural injection system and related methods
US8449503B2 (en) 2010-11-30 2013-05-28 Custom Medical Applications Neural injection system and related methods
US8377005B2 (en) 2006-09-11 2013-02-19 Custom Medical Applications Neural injection system and related methods
US20080306404A1 (en) * 2006-10-10 2008-12-11 Ronald Timothy R Dual-passage biopsy needle device
US20080221605A1 (en) * 2007-01-26 2008-09-11 Laurimed Llc Cutting device positioned via control wire to perform selective discectomy
US8088119B2 (en) * 2007-02-01 2012-01-03 Laurimed, Llc Methods and devices for treating tissue
US8690832B2 (en) 2007-06-13 2014-04-08 Custom Medical Applications Retrofitted neural injection system and related methods
WO2008157376A1 (fr) 2007-06-13 2008-12-24 Epimed International Inc. Système d'injection neurale de sécurité et procédés associés
US20090088789A1 (en) 2007-09-28 2009-04-02 O'neil Michael J Balloon With Shape Control For Spinal Procedures
CA2720452A1 (fr) * 2008-04-02 2009-10-08 Laurimed, Llc Procedes et dispositifs pour administrer des injections
US20090318892A1 (en) * 2008-06-20 2009-12-24 Maria Aboytes Removable Core Implant Delivery Catheter
US9168047B2 (en) * 2009-04-02 2015-10-27 John T. To Minimally invasive discectomy
US8298187B2 (en) 2009-07-07 2012-10-30 Cook Medical Technologies Llc Fluid injection device
US8685052B2 (en) 2010-06-30 2014-04-01 Laurimed, Llc Devices and methods for cutting tissue
BR112012033572A2 (pt) 2010-06-30 2016-11-29 Laurimed Llc dispositivo de corte de tecido acionado a vácuo, método de corte e remoção do tecido de um indivíduo, método para realizar uma polipectomia, método para realizar uma discectomia e aparelho para raspagem de tecido em um indivíduo
US9237925B2 (en) 2011-04-22 2016-01-19 Ablative Solutions, Inc. Expandable catheter system for peri-ostial injection and muscle and nerve fiber ablation
US8663190B2 (en) 2011-04-22 2014-03-04 Ablative Solutions, Inc. Expandable catheter system for peri-ostial injection and muscle and nerve fiber ablation
US20130053792A1 (en) 2011-08-24 2013-02-28 Ablative Solutions, Inc. Expandable catheter system for vessel wall injection and muscle and nerve fiber ablation
US9056185B2 (en) 2011-08-24 2015-06-16 Ablative Solutions, Inc. Expandable catheter system for fluid injection into and deep to the wall of a blood vessel
US9278196B2 (en) 2011-08-24 2016-03-08 Ablative Solutions, Inc. Expandable catheter system for vessel wall injection and muscle and nerve fiber ablation
US9770289B2 (en) 2012-02-10 2017-09-26 Myromed, Llc Vacuum powered rotary devices and methods
EP2633876B1 (fr) 2012-03-02 2014-09-24 Cook Medical Technologies LLC Capuchon de dilatation pour dispositif endoluminal
AU2013293613B2 (en) * 2012-07-26 2017-10-12 Agency For Science, Technology And Research Vascular access device and guiding portion
US10881458B2 (en) 2012-10-29 2021-01-05 Ablative Solutions, Inc. Peri-vascular tissue ablation catheters
US10945787B2 (en) 2012-10-29 2021-03-16 Ablative Solutions, Inc. Peri-vascular tissue ablation catheters
US10226278B2 (en) 2012-10-29 2019-03-12 Ablative Solutions, Inc. Method for painless renal denervation using a peri-vascular tissue ablation catheter with support structures
US9301795B2 (en) 2012-10-29 2016-04-05 Ablative Solutions, Inc. Transvascular catheter for extravascular delivery
US9526827B2 (en) 2012-10-29 2016-12-27 Ablative Solutions, Inc. Peri-vascular tissue ablation catheter with support structures
US9554849B2 (en) 2012-10-29 2017-01-31 Ablative Solutions, Inc. Transvascular method of treating hypertension
US10736656B2 (en) 2012-10-29 2020-08-11 Ablative Solutions Method for painless renal denervation using a peri-vascular tissue ablation catheter with support structures
EP2740422A1 (fr) 2012-12-05 2014-06-11 Custom Medical Applications Système d'injection neurale de sécurité et procédés associés
CA2846742C (fr) 2013-03-15 2017-11-28 Custom Medical Applications Systeme d'injection neurale de securite et procedes associes
US9931046B2 (en) 2013-10-25 2018-04-03 Ablative Solutions, Inc. Intravascular catheter with peri-vascular nerve activity sensors
US10517666B2 (en) 2013-10-25 2019-12-31 Ablative Solutions, Inc. Apparatus for effective ablation and nerve sensing associated with denervation
US9949652B2 (en) 2013-10-25 2018-04-24 Ablative Solutions, Inc. Apparatus for effective ablation and nerve sensing associated with denervation
US8815099B1 (en) 2014-01-21 2014-08-26 Laurimed, Llc Devices and methods for filtering and/or collecting tissue
WO2015168314A1 (fr) * 2014-04-30 2015-11-05 Ablative Solutions, Inc. Cathéter d'ablation de tissu périvasculaire doté de structures de support
CN104688303B (zh) * 2015-02-15 2017-04-12 扬州市江洲医疗器械有限公司 无损伤硬膜外导管穿刺针
US10849685B2 (en) 2018-07-18 2020-12-01 Ablative Solutions, Inc. Peri-vascular tissue access catheter with locking handle
US11806069B2 (en) * 2019-01-25 2023-11-07 Warsaw Orthopedics, IN Devices and methods for the diagnosis and treatment of discogenic back pain
WO2021177888A1 (fr) * 2020-03-04 2021-09-10 Apriomed Ab Aiguille de biopsie coaxiale avec stylet intégré et aiguille d'anesthésie agencée avec des moyens de verrouillage ayant des couples de libération prédéterminés et différents

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Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5263936A (en) * 1991-01-30 1993-11-23 Masaki Yurino Continuous local anesthetization set
DE4128530A1 (de) * 1991-08-28 1993-03-04 Vygon Gmbh & Co Kg Anaesthesiebesteck
US5250035A (en) * 1992-04-20 1993-10-05 Abbott Laboratories Cannula and stylet system
WO1994004212A1 (fr) * 1992-08-18 1994-03-03 Georgescu Horia Dan Dispositif pour proteger des catheters epiduraux des bords du biseau des aiguilles
EP0608985A1 (fr) * 1993-01-29 1994-08-03 Becton, Dickinson and Company Set comprenant un assemblage cathéter et aiguille, pour administrer des agents thérapeutiques dans l'espace subarachnoide
US5470318A (en) * 1993-01-29 1995-11-28 Becton, Dickinson And Company Catheter/needle assembly kit and method for administering therapeutic agents to the subarachnoid space
EP0728495A2 (fr) * 1995-01-25 1996-08-28 Len Edwards Scrymgeour Carrie Cathéter épidural
EP0728495A3 (fr) * 1995-01-25 1999-04-28 Len Edwards Scrymgeour Carrie Cathéter épidural
US8202461B2 (en) 2008-01-14 2012-06-19 Custom Medical Applications, Inc. Flow elements for use with flexible spinal needles, needle assemblies for manufacture and methods therefor
US8287496B2 (en) 2008-01-17 2012-10-16 Custom Medical Applications, Inc. Flow elements for use with flexible spinal needles, needle assemblies and methods therefor
US8298208B2 (en) 2008-01-17 2012-10-30 Custom Medical Applications, Inc. Flow elements for use with flexible spinal needles, needle assemblies and methods therefor
CN109939279A (zh) * 2017-12-20 2019-06-28 柯惠有限合伙公司 用于抽吸胆汁的方法
WO2020152570A1 (fr) * 2019-01-21 2020-07-30 I.N.R.C.A. Dispositif universel d'anesthésie rachidienne continue

Also Published As

Publication number Publication date
AU7140491A (en) 1991-07-18
JPH05505733A (ja) 1993-08-26
US5304141A (en) 1994-04-19

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